How much rates vary
Facilitymedian $107 · 10th to 90th $81 to $316Professionalmedian $89 · 10th to 90th $46 to $107
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $245.47 | Facility | None | $53.70 | $53.70 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $181.97 | Professional | None | $39.81 | $53.70 | $181.97 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $39.81 Typical High $138.04 | Professional | UE · Used equipment | $30.20 | $39.81 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $331.13 | Facility | None | $93.33 | $102.33 | $331.13 |
AllWays Health Partners Setting Facility Modifier RR · Rental Typical Low $9.33 Median $10.23 Typical High $33.88 | Facility | RR · Rental | $9.33 | $10.23 | $33.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $45.71 Median $107.15 Typical High $107.15 | Professional | None | $45.71 | $107.15 | $107.15 |
AllWays Health Partners Setting Professional Modifier RR · Rental Typical Low $4.57 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $4.57 | $10.72 | $10.72 |
AllWays Health Partners Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $33.88 | $81.28 | $81.28 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $275.42 | Facility | None | $91.20 | $91.20 | $275.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | None | $89.13 | $93.33 | $93.33 |
BCBS Massachusetts Setting Professional Modifier RR · Rental Typical Low $8.91 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $8.91 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $117.49 | Professional | None | $56.23 | $66.07 | $117.49 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $36.31 Median $66.07 Typical High $102.33 | Professional | None | $36.31 | $66.07 | $102.33 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $3.63 Median $5.89 Typical High $12.02 | Professional | RR · Rental | $3.63 | $5.89 | $12.02 |
Harvard Pilgrim Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $44.67 Typical High $89.13 | Professional | UE · Used equipment | $26.92 | $44.67 | $89.13 |
Health New England Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Health New England Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | RR · Rental | $4.27 | $4.27 | $4.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $331.13 | Facility | None | $93.33 | $102.33 | $331.13 |
Mass General Brigham Setting Facility Modifier RR · Rental Typical Low $9.33 Median $10.23 Typical High $33.88 | Facility | RR · Rental | $9.33 | $10.23 | $33.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $45.71 Median $107.15 Typical High $107.15 | Professional | None | $45.71 | $107.15 | $107.15 |
Mass General Brigham Setting Professional Modifier RR · Rental Typical Low $4.57 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $4.57 | $10.72 | $10.72 |
Mass General Brigham Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $33.88 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $36.31 Median $66.07 Typical High $102.33 | Professional | None | $36.31 | $66.07 | $102.33 |
United Setting Professional Modifier RR · Rental Typical Low $3.63 Median $5.89 Typical High $10.23 | Professional | RR · Rental | $3.63 | $5.89 | $10.23 |
United Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $44.67 Typical High $75.86 | Professional | UE · Used equipment | $26.92 | $44.67 | $75.86 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $239.88 | Facility | None | $102.33 | $131.83 | $239.88 |
Well Sense Setting Facility Modifier RR · Rental Typical Low $10.23 Median $12.88 Typical High $23.99 | Facility | RR · Rental | $10.23 | $12.88 | $23.99 |
Well Sense Setting Facility Modifier UE · Used equipment Typical Low $75.86 Median $100.00 Typical High $173.78 | Facility | UE · Used equipment | $75.86 | $100.00 | $173.78 |
13 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
AllWays Health Partners Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | KENU · Bid item, non-bid base + New equipment | $128.82 | $128.82 | $128.82 |
AllWays Health Partners Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | KERR · Bid item, non-bid base + Rental | $12.88 | $12.88 | $12.88 |
AllWays Health Partners Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | KEUE · Bid item, non-bid base + Used equipment | $95.50 | $95.50 | $95.50 |
AllWays Health Partners Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KUNU · Bidding program group 3 + New equipment | $125.89 | $125.89 | $125.89 |
AllWays Health Partners Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | KURR · Bidding program group 3 + Rental | $12.59 | $12.59 | $12.59 |
AllWays Health Partners Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | KUUE · Bidding program group 3 + Used equipment | $93.33 | $93.33 | $93.33 |
Mass General Brigham Setting Professional Modifier KENU · Bid item, non-bid base + New equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | KENU · Bid item, non-bid base + New equipment | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Professional Modifier KERR · Bid item, non-bid base + Rental Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | KERR · Bid item, non-bid base + Rental | $12.88 | $12.88 | $12.88 |
Mass General Brigham Setting Professional Modifier KEUE · Bid item, non-bid base + Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | KEUE · Bid item, non-bid base + Used equipment | $95.50 | $95.50 | $95.50 |
Mass General Brigham Setting Professional Modifier KUNU · Bidding program group 3 + New equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KUNU · Bidding program group 3 + New equipment | $125.89 | $125.89 | $125.89 |
Mass General Brigham Setting Professional Modifier KURR · Bidding program group 3 + Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | KURR · Bidding program group 3 + Rental | $12.59 | $12.59 | $12.59 |
Mass General Brigham Setting Professional Modifier KUUE · Bidding program group 3 + Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | KUUE · Bidding program group 3 + Used equipment | $93.33 | $93.33 | $93.33 |
Well Sense Setting Facility Modifier KU · Bidding program group 3 Typical Low $120.23 Median $151.36 Typical High $281.84 | Facility | KU · Bidding program group 3 | $120.23 | $151.36 | $281.84 |
Where Massachusetts sits
The same service costs 2.5 times more in Kansas than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 10th of 51
$93.33
KS $132IL $52.48
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.